黟县6529名65岁及以上老年人血糖结果分析

Analysis of blood glucose testing results among 6 529 adults aged 65 and older

目的了解本地区65岁及以上老年人的血糖水平，为进一步开展慢性病管理、健康教育工作提供依据。方法对6529例65岁以上老年人进行血糖检查，采用全自动生化分析仪，以葡萄糖氧化酶法检测血糖水平，将数据录入Excel表中，应用SAS9．2，对其结果进行分析。结果老年人空腹血糖值偏高的检出率为18．17％。城区老年人检出率为29．42％，农村老年人检出率为15．78％；城区老年人空腹血糖值偏低的检出率为0．09％，农村老年人检出率1．14％，城区和农村居民空腹血糖值结果差异均有统计学意义（x^2=130．53，P〈0．01）。65～69岁老年人空腹血糖值高于6．11mmol/L的检出率最高，达到20．69％，不同年龄老年人空腹血糖偏高的结果差异有统计学意义（x^2=35．92，P〈0．01）；男女老年人空腹血糖值偏高的检出率分别为17．96％和18．34％，差异无统计学意义（x^2=3．67，P〉0．05）。结论黟县65岁及以上老年人血糖偏高，应加强对该年龄组人群的血糖监测。

Objective To explore the blood glucose levels among people aged 65 years old and above in Yi county,further develop chronic disease management, and provide basis for health education work. Methods Blood glucose test by automatic biochemical analyzer with glucose oxidase method was used among 6 529 elderly aged 65 and above. SAS 9.2 was used to analyze the result. Results The detection rate of relatively high fasting glucose value among elderly was 18.17%, with urban elderly 29.42% and rural elderly 15.78%, respectively. The detection rate of relatively low fasting glucose val- ue among elderly was 0.09% , with rural elderly 1.14%. There was significant difference in fasting glucose value between urban and rural elderly（x^2 = 130. 53, P 〈 0.01 ）. The highest detection rate of fasting glucose value above 6. llmmol/L was found in 65 -69 age group, which was 20.69%. There was significant difference in relatively high fasting glucose value among different age groups（x^2 = 35.92, P 〈 0. 01 ）. The detection rate of relatively low fasting glucose value between male and female were 17.96% and 18.34% respectively, and the difference was not statistically significant （x^2 = 3.67,P 〉 0. 05 ）. Conclusion The blood glucose levels among people aged 65 years old or more in Yi county was relatively high, and blood glucose monitoring in the age group should be strengthened.